Peter M Stevens, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

157103-1205 Issued in UT

Practice address

100 Mario Capecchi Dr
4550
SLC, UT 84113-1103

Phone

(801) 662-5600

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Utah Adult Services

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1114321981
  NPD
• University of Utah Pediatric Services

  • Pediatrics Physician
  • Salt Lake City, UT
  • NPI 1487018974
  NPD
• Orthopaedic Spine Surgeons

  • Orthopaedic Surgery of the Spine Physician
  • Salt Lake City, UT
  • NPI 1245474139
  NPD (past)
• Orthoppedic Practice Associates

  • Pediatric Radiology Physician
  • Riverton, UT
  • NPI 1407182835
  NPD (past)
• Pediatric Orthopedic Associates

  • Pediatric Radiology Physician
  • Salt Lake City, UT
  • NPI 1659488799
  NPD (past)
• University of Utah Orthopedic Consultants

  • Orthopaedic Surgery Physician
  • Salt Lake City, UT
  • NPI 1487680609
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1881649929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413026",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841413026",
            "telephone_number": "801-213-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARIO CAPECCHI DR",
            "address_2": "4550",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841131103",
            "telephone_number": "801-662-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "PETER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "157103-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200038200",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa R Stauffer, RN
• Changhong Cherry Steele
• Max M Steele, M.D.
• Kaylie Stephens
• Steven E Warren MD PC LLC
• Tammy Stevens, AAS
• Nancy J Stevenson, PA-C
• Jacob Stever, M.D.
• Alisa Jorgensen Stewart
• Zoe Stewart

• Orthopaedic Surgery Physician in SLC, UT
• Providers in SLC, UT by specialty
• Orthopaedic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.